STACY LAURENT

CHICAGO, IL
NPI1497021737
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: IL  36.136436)
Additional Taxonomies2080P0204X Pediatrics, Pediatric Emergency Medicine
(Licence: IL  36.136436)
Enumeration Date2012-03-30
Last Update Date2015-11-24
Business Address
-- STACY LAURENT
1740 W TAYLOR ST
CHICAGO, IL 60612-7232
Phone number: 866-600-2273
Mailing Address
-- STACY LAURENT
840 S WOOD ST DEPT PEDIATRICS MC 856
CHICAGO, IL 60612-4325
Phone number: